MORTALITY RISKS FOR SURVIVORS OF VASCULAR RECONSTRUCTIVE PROCEDURES

  • 1 January 1982
    • journal article
    • research article
    • Vol. 92  (6) , 1072-1076
Abstract
Aneurysmal disease and occlusive disease may imply different risks of hastened death. The aortoiliac site is more favorable than the femoropopliteal site in regard to the patient''s age at operation and long-term survival. A follow-up study was done of 320 patients who survived aortic aneurysm repair, 212 patients who survived aortic bypass procedures, and 203 who survived femoropopliteal bypass procedures. The median ages at the time of operation were 66, 57, and 62 yr, respectively. Median years of survival for the 3 groups were 5.8, 10,7 and 7.2 yr, respectively. The difference for survival between patients with aortoiliac occlusive disease vs. those with aneurysmal disease was statistically significant, as was the difference between occlusive disease in the aortoiliac segment vs. the femoropopliteal segment. The difference in median survival of patients with aortic aneurysmal disease vs. those with femoropopliteal disease was not significant. White men constituted the largest group of patients. When the median years of survival for different operations in white men were stratified into 5 yr age groups according to age at operation, there was no significant difference between any operations within any of the age groups. (The older subgroups were too small for meaningful analysis). The longer median survival for aortoiliac occlusive disease apparently can be explained by the apparently younger median age at the time of operation.